Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

John Mahon (NPI 1861474801)

Field	Value
Entity Type	Individual
Organization	John Mahon
Address	1815 E Ireland Rd
City	South Bend
State	IN
ZIP	46614
Taxonomy	Orthopaedic Hand Surgery Physician
NPI Enumerated	November 16, 2005

Payer Source	Total Paid
Medicare	$53.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	50	$300	$14K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	170	$60	$9.7K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	180	$40	$6.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	90	$70	$6.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	50	$120	$5.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60	$80	$4.9K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	10	$150	$1.8K
73100	In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area.	40	$20	$880
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$810
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	30	$30	$760

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

John Mahon — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64721	28	100	30	$420	$16.2K
99214	7,187	10,540	110	$80	$15.5K
26055	84	90	30	$280	$10.5K
99213	2,629	10,820	80	$50	$7.6K
99204	1,615	4,690	30	$100	$4.9K
99203	451	3,490	30	$70	$3.1K
99212	1,487	2,360	30	$30	$2.1K
20550	8	210	30	$30	$1.6K
20605	100	140	20	$40	$1.3K
73140	56	140	20	$20	$730

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as John Mahon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vav Operations LLC	IN	Community/Behavioral Health Agency	$0	$198.8M
Cynthia Mayfield	IN	Dermatology Physician	$320K	$0
Luiz Pantalena Filho	IN	Dermatology Physician	$308.8K	$0
Walgreen Co	IN	Pharmacy	$142.7K	$0
Kathleen Kelley	IN	Dermatology Physician	$114.6K	$0
Heather Campion	IN	Orthopaedic Hand Surgery Physician	$61.1K	$0
Sean Horner	IN	Physician Assistant	$60.6K	$0
Jennifer Besemer	IN	Registered Dietitian	$4K	$0
Lisa Levin	IN	Clinical Social Worker	$1K	$0

John Mahon — Billing Profile & Reimbursement Data

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John Mahon — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References